早期成人股骨头坏死周围软组织病变DR、CT、MRI对比研究

Comparative study of DR, CT and MRI in early adults with perifemoral head necrosis

目的:分析研究早期成人股骨头坏死周围软组织病变DR、CT、MRI情况。方法:对我院81例157个早期成人股骨头坏死疾病治疗患者进行研究,采用回顾分析法分析周围软组织病变DR、CT、MRI情况,对比分析各种征象情况。结果:患者MRI、DR显示的肌肉萎缩、骼腰肌囊扩张和关节囊肿胀方面差异明显;患者MRI、CT显示的股骨头韧带钙化差异明显;患者DR、CT显示的肌肉萎缩、骼腰肌囊扩张、关节囊肿胀、关节囊钙化和股骨头韧带钙化均差异明显,有统计学意义(P<0.05)。结论:和DR相比,CT和MRI对肌肉萎缩、骼腰肌囊扩张和关节囊肿胀方面的显示情况更佳,对股骨头周围软组织病变坏死情况可以清楚显示,值得推广使用。

Objective To analyze the DR,CT and MRI of soft tissue lesions around the early femoral head necrosis in adults.Methods Eighty-seven patients with 157 early adult femoral head necrosis were treated in our hospital.The retrospective analysis was used to analyze the DR,CT and MRI of surrounding soft tissue lesions,and the various signs were analyzed.Results MRI,DR showed muscle atrophy,iliac pectoral sac dilatation;Patients with MRI and CT showed significant differences in calcification of the femoral head ligament;Patients with DR,CT showed muscle atrophy,iliac pectoral sac dilatation,joint capsule swelling,joint capsule calcification,and femoral head ligament calcification were significantly different,statistically significant(P<0.05).Conclusion Compared with DR,CT and MRI show better results in muscle atrophy,iliac pectoral sac dilatation and joint capsule swelling,and can better display the soft tissue lesion necrosis around the femoral head,compared with MRI and DR.CT has a better indication of calcification of the femoral head ligament.